Marc Nicholas Boggy, M.D. Valid NPI

Individual provider · Pediatrics Physician · Travis Afb, CA

NPI

1558545285

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

40876 (AZ)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-12-17

Last updated

2025-06-26